| NPI | 1558536862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN W MICHELS Owner 806-224-3947 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TX 17210) |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2008-07-08 |